• Home
  • NEW DAY MEDICINE
  • 3 (31) 2020
  • 16 -3 (31/1) 2020 — Qoyirov A.Q. Kenjaev S.R. — THE ROLE OF DELIRIUM IN PATIENTS WITH MYOCARDIAL INFARCTION OF COMPLICATED ACUTE HEART FAILURE

16 -3 (31/1) 2020 — Qoyirov A.Q. Kenjaev S.R. — THE ROLE OF DELIRIUM IN PATIENTS WITH MYOCARDIAL INFARCTION OF COMPLICATED ACUTE HEART FAILURE

THE ROLE OF DELIRIUM IN PATIENTS WITH MYOCARDIAL INFARCTION OF COMPLICATED ACUTE
HEART FAILURE

Qoyirov A.Q. -Republican Scientific Center for Emergency Care, Bukhara State Medical Institute.

Kenjaev S.R. -Republican Scientific Center for Emergency Care, Bukhara State Medical Institute.

Xaitov S.SH. -Republican Scientific Center for Emergency Care, Bukhara State Medical Institute.

Egamova N.T. -Republican Scientific Center for Emergency Care, Bukhara State Medical Institute.

Boltaev E.B. -Republican Scientific Center for Emergency Care, Bukhara State Medical Institute.

Resume

To identify the frequency and clinical features of delirium in acute heart failure (AHF) in the conditions of the intensive care unit.

Material and Methods. A survey of 104 patients (43.3% of women and 56.7% of men) with acute myocardial infarction (AMI) complicated by acute heart failure resuscitation was carried out during their stay in the intensive care unit. The average age was 68,0 [59,0-76,7] years. Delirium was diagnosed using the criteria of the confusion assessment questionnaire – the intensive care unit (MOSS-ICU). For neurodevelopmental testing we used screening tests and rating scales.

Results. The incidence of delirium in patients in this category was 28,8 %. Most frequently delirium develops in patients aged 60-89 years: in the age group 60-74 years 25,0 %, in the group of 75-89 years 44,7 %. Delirium developed in the 1-2 day stay in the intensive care unit and intensive care. The average duration of delirium was 7,7 days. Hypoproductive form of delirium was detected in 64,3 % of all cases, hyperproductive form in 21,4 % of patients, mixed form in 14,2 % of patients. The occurrence of delirium is associated with an increase of the duration of stay at the intensive care unit at 6 times compared with patients without delirium.

Conclusion. The presence of delirium greatly increases the probability of death of AHF. Moss questionnaire and training of doctors to work with rating scales should be accepted in all ICU intensive care units for early diagnosis of delirium and immediate correction of disorders of consciousness in patients in critical condition.

Key words: delirium, myocardial infarction (MI) of complicated acute heart failure (AHF), CAM-ICU, resuscitation department.

First page

68

Last page

71

For citation: Qoyirov A.Q., Kenjaev S.R., Xaitov S.SH. Egamova N.T., Boltaev E.B., The role of delirium in patients with myocardial infarction of complicated acute heart failure//New Day in Medicine 3(31)2020 68-71 https://cutt.ly/PxvS3SO

List of References

  1. Patel RP, Gambrell M, Speroff T, et al. Delirium and sedation in the intensive care unit: Survey of behaviors and attitudes of 1384 healthcare professionals. Crit Care Med 2009; 37 (3): 825-832.
  2. Maksimov AI. Deliry in the sharp period of a Q-myocardial infarction. Sibirskij medicinskij zhurnal 2011; 26 (1): 58-63. Russian (Максимов А. И. Делирий в остром периоде Q-инфаркта мио­карда. Сибирский медицинский журнал 2011; 26 (1): 58-63).
  3. Zabolotskih IB, Pesnjak EV. Sedation in intensive therapy. Petrozavodsk: IntelTek, 2007; 79 p. Russian (Заболотских И. Б., Песняк Е. В. Седация в интенсивной терапии. Петрозаводск: ИнтелТек, 2007; 79 с.).
  4. Sapozhnikov AN, Sabitov IA, Shcherbakova IG, et al. On the question of the prognostic value of psychopathological disorders in vascular encephalopathy in patients with acute myocardial infarction. Basic Research 2013; (7): 633-637.Russian (Сапожни­ков А. H., Сабитов И. А., Щербакова И. Г. И др. К вопросу о прогностическом значении психопатологических нарушений при дисциркуляторной энцефалопатии у больных с острым инфарктом миокарда. Фундаментальные исследования 2013; (7): 633-637).
  5. N acional’nye rekomendacii po diagnostike i lecheniju bol’nyh ostrym infarktom miokarda s podemom segmenta ST JeKG. Kardiovaskuljarnaja terapija i profilaktika 2007; 6 (8) Supplement 1. Russian (Национальные рекомендации по диагностике и лечению больных острым инфарктом миокарда с подъемом сегмента ST ЭКГ. Кардиоваскулярная терапия и профилакти­ка 2007; 6 (8) Приложение 1).
  6. Stawicki SP, Gerlach AT. Delirium assessment in the intensive care unit: An overview of objective diagnostic criteria and scoring tools: OPUS 12. Scientist 2008; 2 (4): 13-16.
  7. Ely EW, Margolin R, Francis J, et al. Evaluation of delirium in critically ill patients: validation of the confusion assessment method for the Intensive Care Unit (CAM-ICU). Crit Care Med 2001; 29 (7): 1370-1379.
  8. Zamjatin MN, Gorohovatskij JI, Vahljaev AV. Diagnostika delirija u pacientov v otdelenijah reanimacii i intensivnoj terapii: Uchebno-metodicheskoe posobie. M., 2014; 26 р. Russian (Замя­тин М. H., Гороховатский Ю. И., Вахляев А. В. Диагностика делирия у пациентов в отделениях реанимации и интенсивной терапии: учеб. ?метод. пособие; под ред. Ю. Л. Шевченко. М., 2014; 26 с.).
  9. Sessler Curtis N., Gosnell Mark S., et al. The Richmond Agitation­Sedation Scale: Validity and Reliability in Adult Intensive Care Unit Patients. Am J Respir Crit Care Med 2002; 166: 1338-1344.
  10. Maegher D. Delirium: the role of psychiatry / The Royal College of Psychiatrists. Advance in Psychiatric Treatment 2001;7: 433­443.
16-68-71-3-31-2020-

file

download